Active NPI
Andrea B. Lanier, M.D.
- Ophthalmology Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G51172
- Practice address
- 1360 E Herndon Ave
Suite 401
Fresno, CA 93720-3326 - Phone
- (559) 449-5010
- Fax
- (559) 449-5014
- NPI assigned
- Apr 3, 2006
- Last updated
- Mar 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G51172 | CA | Primary |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | G51172 | CA |
Addresses
Primary practice location
1360 E Herndon Ave
Suite 401
Fresno, CA 93720-3326
Mailing address
1360 E Herndon Ave
Suite 401
Fresno, CA 93720-3326
Phone (559) 449-5010
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0078924 | Medicaid | CA | |
| 00G511720 | Medicaid | CA | |
| CGP077165 | Medicaid | CA | |
| GR0078923 | Medicaid | CA | |
| GR0078920 | Medicaid | CA | |
| GR0078922 | Medicaid | CA | |
| GR0078921 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51172 | CA | MD | Pharmacist |
| G51172 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fogg Remington Eyecare Inc | Ophthalmology | Current | Accepting new patients |
| Fogg Remington Eyecare Inc | Ophthalmology | Current | Accepting new patients |
| Fogg Remington Eyecare, Inc. | Ophthalmology | Current | Accepting new patients |
Locations
1817 Shaw Ave
Ste 104
Clovis, CA 93611
Phone (559) 449-5010
1360 E Herndon Ave
Ste 401
Fresno, CA 93720
Phone (209) 449-5010
3830 N 1st St
Fresno, CA 93726
Phone (559) 449-5010
2401 W Cleveland Ave
Madera, CA 93637
Phone (559) 449-5010
40232 Junction Dr
Oakhurst, CA 93644
Phone (559) 449-5010
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Fresno, CA
- NPI 1023070869
-
- Ophthalmology Physician
- Fresno, CA
- NPI 1437971082
-
- Ophthalmology Physician
- Fresno, CA
- NPI 1912960253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1750343158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 E HERNDON AVE",
"address_2": "SUITE 401",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203326",
"telephone_number": "559-449-5010",
"fax_number": "559-449-5014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 E HERNDON AVE",
"address_2": "SUITE 401",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203326",
"telephone_number": "559-449-5010",
"fax_number": "559-449-5014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANIER",
"first_name": "ANDREA",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G51172",
"primary": true
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "CA",
"license": "G51172",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0078924",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G511720",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CGP077165",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0078923",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0078920",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0078922",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0078921",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.